| NPI | 1144694720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER SHAWN SKILLERN Owner 805-643-3330 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2015-11-19 |